Laurie Johnson

Pura Vida Vacations

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	<fields>&#13;
		<field type="header" subtype="h1" label="Land Design Form"/>&#13;
		<field type="header" subtype="h2" label="Traveler 1 (as written on passport)"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of birth" name="date-of-birth" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip specific details"/>&#13;
		<field type="textarea" required="true" label="Where would you like to travel on this trip?" description="ex: Spain  Portugal  France" name="where-would-you-like-to-travel" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is the ultimate goal of this trip for you?" name="what-is-the-ultimate-goal-of-this-trip-for-you">&#13;
			<option label="Celebrating a milestone" value="celebrating-a-milestone">Celebrating a milestone</option>&#13;
			<option label="Cultural discovery" value="cultural-discovery">Cultural discovery</option>&#13;
			<option label="Reconnecting with family" value="reconnecting-with-family">Reconnecting with family</option>&#13;
			<option label="Indulging in personal relaxation" value="indulging-in-personal-relaxation">Indulging in personal relaxation</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Are you traveling for a special occasion?" description="ex:  anniversary  birthday or family reunion" name="are-you-traveling-for-a-special-occasion" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Who is traveling with you?&amp;nbsp; (Give all names, ages,&amp;nbsp; and relationship)" name="who-is-traveling-with-you-give-all-names-and-relationship-to-each-other" className="form-control"/>&#13;
		<field type="date" required="true" label="Preferred Departure Date" name="preferred-departure-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Preferred Return Date" name="preferred-return-date" className="form-control"/>&#13;
		<field type="text" required="true" label="Are they flexible?" description="ex. our dates are firm  we can travel anytime in July  flexible but we want to incorporate..." name="preferred-travel-dates-are-they-flexible" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="What type of atmosphere or vibe do you prefer for your accommodations? (e.g., modern and trendy, classic and elegant, boutique and unique, family-friendly, or luxurious and relaxing)" name="what-type-of-atmosphere-or-vibe-do-you-prefer-for-your-accommodations-eg-modern-and-trendy-classic-and-elegant-boutique-and-unique-familyfriendly-or-luxurious-and-relaxing" className="form-control"/>&#13;
		<field type="text" label="What hotel have you stayed at in the past and loved?" name="what-hotel-have-you-stayed-at-in-the-past-and-loved" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="List any onsite or room amenities you desire" name="list-any-onsite-or-room-amenities-you-desire" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="For hotel rooms: What type of accommodations do you prefer? (e.g., 4-star or 5-star hotels) Note: We do not book AirBnB, VRBO, or similar accommodations, and we are unable to utilize hotel points for bookings." name="when-it-comes-to-your-travel-style-which-hotel-category-would-you-rather-be-in">&#13;
			<option label="Entry level rooms" value="entry-level-rooms">Entry level rooms</option>&#13;
			<option label="Deluxe Rooms" value="deluxe-rooms">Deluxe Rooms</option>&#13;
			<option label="Jr Suites" value="jr-suites">Jr Suites</option>&#13;
			<option label="1 Bedroom Suites" value="1-bedroom-suites">1 Bedroom Suites</option>&#13;
			<option label="Presidential Suites" value="presidential-suites">Presidential Suites</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many hotel rooms are needed?" name="how-many-hotel-rooms-are-needed" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="What type of activities do you want to experience on your travels?" name="what-type-of-activities-do-you-want-to-experience-on-your-travels" multiple="multiple" className="form-control">&#13;
			<option label="Private Tours" value="private-tours" selected="selected">Private Tours</option>&#13;
			<option label="Small Guided Tours" value="small-guided-tours">Small Guided Tours</option>&#13;
			<option label="Self Guided Tours" value="self-guided-tours">Self Guided Tours</option>&#13;
			<option label="Wine Tasting" value="wine-tasting">Wine Tasting</option>&#13;
			<option label="Cooking Classes" value="cooking-classes">Cooking Classes</option>&#13;
			<option label="Boat Excursion" value="boat-excursion">Boat Excursion</option>&#13;
			<option label="Water Activities" value="water-activities">Water Activities</option>&#13;
			<option label="Culture &amp; History Experiences" value="culture-history-experiences">Culture &amp; History Experiences</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="textarea" label="Thinking back to your last few trips, what made them especially memorable?" name="thinking-back-to-your-last-few-trips-what-made-them-especially-memorable" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="How much do you plan to invest on this travel experience PER PERSON?&amp;nbsp; *Land-only (hotel, transportation &amp;amp; activities), not including international airfare&amp;nbsp;" name="how-much-do-you-plan-to-invest-on-this-travel-experience-per-person-landonly-not-including-international-airfare-accommodations-transportation-needs-activities-excursions-etc">&#13;
			<option label="$7,500 - $10,000" value="7500-10000">$7,500 - $10,000</option>&#13;
			<option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option>&#13;
			<option label="$15,000 - $20,000" value="15000-20000">$15,000 - $20,000</option>&#13;
			<option label="$20,000 - $25,000" value="20000-25000">$20,000 - $25,000</option>&#13;
			<option label="$25,000 - $30,000" value="25000-30000">$25,000 - $30,000</option>&#13;
			<option label="$30,000 and more" value="30000-and-more">$30,000 and more</option>&#13;
		</field>&#13;
		<field type="textarea" label="Let us know any considerations we should be aware of in regards to your budget" name="let-us-know-any-considerations-we-should-be-aware-of-in-regards-to-your-budget" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="All destinations are different and there are many factors that go into the total investment for a trip. Our travelers are typically comfortable spending $500 per person/ per day and up for their luxury experience, including hotels, transportation, and activities."/>&#13;
		<field type="header" subtype="h1" label="Flights"/>&#13;
		<field type="textarea" required="true" label="Do you need an air quote?&amp;nbsp; If so, please provide your closest international airport." name="which-airport-will-you-be-departing-from" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Which class of service would you like us to quote airfare? (not using points)" name="which-class-of-service-would-you-like-us-to-quote-airfare-not-using-points">&#13;
			<option label="Premium Economy" value="premium-economy">Premium Economy</option>&#13;
			<option label="Business/First Class" value="businessfirst-class">Business/First Class</option>&#13;
			<option label="I will book my own flights" value="i-will-book-my-own-flights">I will book my own flights</option>&#13;
		</field>&#13;
		<field type="textarea" label="Share any thoughts about your dream trip we might find helpful" name="share-any-thoughts-about-your-dream-trip-we-might-find-helpful" className="form-control"/>&#13;
		<field type="textarea" label="If you are a new client, is there anyone we should thank for a referral?" name="how-did-you-hear-about-pura-vida-vacations" className="form-control"/>&#13;
	</fields>&#13;
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